Introduction David Roberson, MD, FACS

Introduction David Roberson, MD, FACS

Welcome Thank you for joining us GTD USA kickoff April 26, 2014

GTD USA kickoff April 26, 2014 This is a team effort

Thanks to sponsors & donors Boston Children s Hospital Boston Children s Dept. Otolaryngology Ed and Barbara Shapiro

This meeting is held In Loving Memory of Jaxon Thomas Persons 6/25/10 10/24/11 Jaxon Thomas Persons, born on 6-25-10, deceased on 10-24-11. His cause of death was an obstruction in his airway too deep for a suction machine to reach. The obstruction blocked his airway long enough for irreparable damage to his brain to occur. He was removed from his ventilator after a decision made by his parents. During his life, Jaxon was a happy boy. Relevant to the meeting, Jaxon never had any significant issues with his trach specifically. Jaxon experienced issues with granulation tissue in his neck owing to a leftover surgery stitch. A minor procedure fixed the issue and Jaxon was good to go afterwards." - Andrew and Carly Persons

Mission The mission of the Global Tracheostomy Collaborative is to partner with hospitals and providers around the world to improve the care and quality of life for every individual who needs a tracheostomy for any reason. GTD USA kickoff April 26, 2014

Overview: morning Case for a tracheostomy collaborative Change theory Success stories Discussion (write/hold questions) Lunch

Overview: afternoon IQIC: an example of a successful QIC Interventions: how to get started Database Ongoing support/ learning community Panel Dinner!

Themes for today There is a need * Create a learning community Think about key drivers of improvement Plan where/how to start in your hospital Get excited! Learn to use database *

Learning community We don t know all the answers Some of you have done work/published already We are going to share what some high-end programs have achieved But we expect everyone to learn from each other, especially as we go forward Get to know each other!

Key driver diagram KEY DRIVERS SPECIFIC CHANGE STRATEGIES IMPROVED OUTCOMES Truly multidisciplinary care Establish trach team Daily trach team rounds Daily trach team checklist Patient and family involvement Reduced inpatient tracheotomyrelated morbidity and mortality Institution wide protocols Establish trach clinic Standardized protocols for frequency of visits, monitoring Trach care plan for every patient Decannulation plan Reduced outpatient tracheotomy-related morbidity and mortality Broad staff education Agreed-on outcome measures Central database of outcomes Shared results to all sites Monthly webinars to discuss results and share improvement strategies Ongoing improvement in all outcomes

Key drivers Truly multidisciplinary care Institution-wide protocols Broad staff education Patient and family involvement (Measure and assess)

How to start in your hospital This is a multi-year journey Many of you have already made substantial progress Every institution is different More than anything else, you need partners and champions

Be excited! Change is hard but (sometimes) fun Develop a network of support, maintain energy and excitement What you do in the next 12-24 months is going to have an impact far beyond your institution

You are the GTC The GTC can only accomplish anything through participating hospitals. Our sole purpose is to support you in improving care for your patients Please tell us, at any time, what you want, need, or think will work better.

Thank you Have a great day and make some new friends